| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,311.00 | $6,681.00 | $31,885.00 | |
Aetna
| Professional | $4,069.00 | $10,234.00 | $31,885.00 | |
BCBS
| Facility | $108.00 | $142.00 | $388.00 | |
Cigna
| Facility | $9,413.00 | $12,909.00 | $22,801.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $280.00 | $1,056.00 | $26,669.00 |